Search › Oregon › 101Y00000X
Chad Jacobs, MED, LPC
NPI 1689006850 · on the registry since 2013
Practice
- Address
- 9755 Sw Barnes Rd Ste 650
Portland, OR 97225 - Phone
- (503) 444-4862
- Fax
- (503) 648-0755
- Organisation at this address
- Sports Psychiatry Center Llc
Nw Spine Management Rehabilitation And Sports Conditioning, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101Y00000X
- Licence states on file
- LA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon